Individual
DOUGLAS PAUL WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
232 S WOODS MILL RD, CHESTERFIELD, MO 63017-3417
(314) 205-6053
Mailing address
5465 GOETHE AVE, SAINT LOUIS, MO 63109-3206
(314) 457-0438
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2004003291
MO
183500000X
Pharmacist
—
IL
Other
Enumeration date
07/31/2007
Last updated
07/31/2007
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